JACOB DOUGLAS HENRY APRN-CNP NPI 1881438869

NPI Information

  • NPI: 1881438869
  • Provider Name: JACOB DOUGLAS HENRY, APRN-CNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1301 PLEASANT VALLEY RD STE 404
    OWENSBORO, KY
    ZIP 42303
  • Phone: (270) 417-7515

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NPI Details

Jacob Douglas Henry, APRN-CNP is an acute care nurse practitioner in Owensboro, KY with 1 years of experience. Jacob Douglas Henry, APRN-CNP NPI is 1881438869. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1301 PLEASANT VALLEY RD STE 404
OWENSBORO, KY
ZIP 42303-774
Phone: (270) 417-7515
Fax: (270) 417-7699

The NPI 1881438869 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/24/2024 and was last updated on 4/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner4023612KENTUCKYNo
2363LF0000XNurse PractitionerFamily4023612KENTUCKYNo
3363LA2100XNurse PractitionerAcute Care4023612KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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